Foot doctors cite insurer with contract breach in alleged underpayments

Carol Ostrow May 12, 2015, 7:55am


A medical practice brought a lawsuit against an insurance carrier for alleged breach of contract in a 2008 dispute.

Beaumont Foot Specialists (BFS) filed against UnitedHealth Care of Texas Inc. f/k/a United Health Care of Texas Inc. et al (UHC), of Dallas, in Jefferson County District Court April 27, claiming breach of contract in an agreement originating in October 2008.

The parties entered into an arrangement Oct. 1, 2008 for the plaintiff to accept discounted rates as payment in full for patients covered by UHC plans, the suit states. According to court papers, UHC was to reimburse the plaintiff accordingly. The complaint cites that the defendant submitted payments to BFS that were lower than the rates purportedly stipulated in the contract agreement.

According to the complaint, UHC did not render full and correct payments even after the matter was brought to its attention. Citing breach of contract, negligent misrepresentation, and unjust enrichment, BFS claims that the defendant is in violation of state law.

The plaintiff seeks declaratory relief; payment for past claims; compensation between $100,000 and $1 million in damages; pre- and post-judgment interest; attorney’s fees; expenses, and costs. The business is represented by Walter Umphrey and Bryan Blevins of Provost*Umphrey Law Firm in Beaumont; John Eddie Williams Jr. and E. Armistead Easterby of Williiams Kherkher Hart Boundas in Houston; and Michael C. Watson of Houston.

Jefferson County District Court Case A-197040

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